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This document serves as a consent form for parents or guardians to authorize the administration of the influenza vaccine to students. It includes sections for personal information, medical history,
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How to fill out 2020-2021 school based influenza vaccine consent form

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How to fill out 2020-2021 school based influenza vaccine consent form

01
Obtain the 2020-2021 school based influenza vaccine consent form from your school or health department.
02
Read through the form carefully to understand all the information required.
03
Fill out the student's personal information, including full name, date of birth, and school details.
04
Provide the parent's or guardian's contact information, ensuring the phone number is accurate for communication.
05
Indicate any relevant medical history or allergies that the student may have.
06
Sign and date the form where indicated to provide consent for the vaccination.
07
Submit the completed form by the specified deadline to the appropriate school health official.

Who needs 2020-2021 school based influenza vaccine consent form?

01
Parents or guardians of students who wish to have their child receive the school-based influenza vaccine for the 2020-2021 school year.
02
Schools that are administering influenza vaccinations and require consent documentation.
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The 2020-2021 school based influenza vaccine consent form is a document that allows parents or guardians to provide permission for their children to receive the influenza vaccine at school.
Parents or guardians of school-aged children who wish for their children to receive the influenza vaccine at school are required to fill out and file the consent form.
To fill out the form, parents or guardians need to provide their child's personal information, including name, date of birth, and any relevant medical history, as well as their own signature to grant consent.
The purpose of the consent form is to obtain permission from parents or guardians for students to receive the influenza vaccine during school vaccination programs, ensuring informed consent is documented.
The information that must be reported includes the child's name, date of birth, medical history related to allergies or previous vaccinations, and the parent's or guardian's contact information and signature.
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